Provider Demographics
NPI:1326520370
Name:SANCHEZ, JUANITA IRIS (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:JUANITA
Middle Name:IRIS
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 PEREZ RD
Mailing Address - Street 2:
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572-2399
Mailing Address - Country:US
Mailing Address - Phone:956-496-5235
Mailing Address - Fax:
Practice Address - Street 1:2204 PEREZ RD
Practice Address - Street 2:
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-2399
Practice Address - Country:US
Practice Address - Phone:956-496-5235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111792235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist